Capital Orthopaedic Clinic, PLLC

Capital Orthopaedic Clinic, PLLC was paid $633K by Medicaid between Jan 2018 and Nov 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.

33Billing provider infoCAPITAL ORTHOPAEDIC CLINIC, PLLC
FLOWOOD, MS 39232

33aNPI1770687881assigned 09/11/2006

33bProvider typeOrthopaedic Surgery Physician

28Total paid$633K

24GClaims26,040

24DCodes billed26

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Orthopaedic Surgery Physician providers in Mississippi

Rank by total paid#6 of 39

Median peer was paid$11K

This provider vs. median58×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	3,314	$83K
2019	4,035	$106K
2020	2,973	$101K
2021	3,764	$124K
2022	4,338	$90K
2023	4,696	$63K
2024incomplete	2,920	$65K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	45%	10,516	8,703	$283K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	23%	4,117	3,590	$147K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	16%	2,437	1,984	$100K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	11%	1,579	1,367	$73K
73630		1.3%	1,018	756	$8K
97530	Therapeutic activities, direct patient contact, each 15 minutes	1.0%	460	153	$6K
20610		<1%	2,263	1,790	$6K
73610		<1%	464	351	$4K
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	<1%	15	12	$1K
73562		<1%	307	221	$893.81
73110		<1%	131	64	$737.18
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	749	643	$564.44

14 more codes

J1010	Injection, methylprednisolone acetate, 1 mg	<1%	248	$547.10
73030		<1%	424	$442.72
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	<1%	68	$404.54
97016		<1%	167	$288.69
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	<1%	307	$282.81
L1820	Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	<1%	13	$188.95
73501		<1%	41	$173.27
73130		<1%	29	$170.82
73620		<1%	15	$104.45
73010		<1%	128	$64.65
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	81	$61.43
73502		<1%	214	$55.29
73564		<1%	197	$12.53
73560		0%	52	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialDULSKE, MICHAEL (MANAGING OWNER)